New Era in Health Care Isn’t All it’s Cracked Up to Be

As the Supreme Court prepares to rule on another challenge to Obamacare, Republicans in Congress should review their principles.

Passage of the Patient Protection and Affordable Care Act in 2010 was more chaotic than the usual congressional process. Democrats in charge of the bill expected that they would have a conference to resolve conflicts, mistakes, and ambiguities in the House and Senate versions of the bill.

Unfortunately for their legislative process, a Republican won a by-election to fill a vacant Senate seat in Massachusetts. Suddenly and...